ELLEN FERTELMEISTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017049

License Status

EXPIRED

Business

First Name

ELLEN

Last Name

FERTELMEISTER

Suffix

Business Name

ELLEN FERTELMEISTER MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006